Great Lakes Family Medical Center Inc

  • 1093900136 NPI Number
  • |
  • Actived: 16 years ago
  • |
Great Lakes Family Medical Center Inc is a health care provider based in Kenosha, WI. The NPI Number is 1093900136 and it has been active since 16 years ago. The specialty is Clinic/Center, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinic/Center services, Great Lakes Family Medical Center Inc is an excellent option. We are here to help you get the care you need.

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Overview of Great Lakes Family Medical Center Inc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 09/12/2007
  • Last updated: 08/26/2010

Primary Scrop of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: 45606020
  • License State: WI

Provider Mailing Address

  • Address: 6123 Green Bay Road
    Suite 120
    Kenosha, WI 53142
  • Phone: 262-764-4390
  • Fax: 262-764-4396

Provider Practice Location

  • Address: 6123 Green Bay Rd
    Suite 120
    Kenosha, WI 53142
  • Phone: 262-764-4390
  • Fax: 262-764-4396

Authorized Official

  • Name: DR. Jawaid Quddus M.D., PH.D.
  • Position/Title: President
  • Telephone Number: 262-764-4390

Scope of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: 45606020
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 34414100
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Great Lakes Family Medical Center Inc?
  • A: The npi number for Great Lakes Family Medical Center Inc is 1093900136.
  • Q: What are Great Lakes Family Medical Center Inc's specialties?
  • A: Great Lakes Family Medical Center Inc's specialties are Clinic/Center and different specialities.
  • Q: Where is Great Lakes Family Medical Center Inc business practice location?
  • A: Great Lakes Family Medical Center Inc business practice location is 6123 Green Bay Rd, Kenosha, WI 53142.
  • Q: How to contact Great Lakes Family Medical Center Inc?
  • A: You can contact Great Lakes Family Medical Center Inc via 262-764-4390.
  • Q: What is the authorized official for Great Lakes Family Medical Center Inc?
  • A: The authorized office name is DR. Jawaid Quddus M.D., PH.D. with position/title is President and you can reach the authorized official via phone number 2627644390.
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